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Individual

MS. MARY-ELLEN GIROUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
67 LINCOLN ST, ESSEX JUNCTION, VT 05452-3235
(802) 878-7126
(802) 878-9966
Mailing address
67 LINCOLN ST, ESSEX JUNCTION, VT 05452-3235
(802) 878-7126
(802) 878-9966

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
614
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007101
VT
Enumeration date
05/11/2007
Last updated
07/08/2007
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